Vinculación de Clientes | Centrolab | Medellín - Colombia

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FC-403 / VERSION 01 / DATE: 2024-07-29

Customer Linking

*Type of client

*Company name

Business name (optional)

*Contact Name

*Representante legal

*Document type

*# Document (NIT without verification digit)

*Address

*City

*Neighborhood

*Email for electronic billing

*Email for results

*Cellular

Landline (optional)

*Method of payment

Tarifa contrato (opcional)

Name of advisor

Volumen pactado (opcional)

Entrega de suministros (opcional)

Observations (optional)

*Upload company RUT

Cargar Cámara de comercio

Cargar Foto de la Cédula representante legal

*Signature

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

I warrant that I have read the statements and authorizations.

I accept the conditions for the provision of the service

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(604) 604-2204

quality@centrolab.com.co

CONTACT

Centro:
Cll 57A #48-21

Poblado:

Carrera 43DD #8-56

San Antonio de prado:

Cll 41 sur #78-33

Salud ocupacional:

Carrera 48 #60-24

LOCATION

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